Individual provider Active NPI

Syed Hussain

  • Physician Assistant
  • Detroit, MI
National Provider Identifier
1467128017
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3611 Carpenter St Ste 5
Detroit, MI 48212-2784
Phone
(313) 733-8286
Fax
(313) 826-0899
NPI assigned
Aug 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MI Primary

Addresses

Primary practice location

3611 Carpenter St Ste 5
Detroit, MI 48212-2784

Mailing address

24684 Warner Ave
Warren, MI 48091-1652
Phone (586) 248-2192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210824003291 MI Practitioner - Physician Assistant 0143625491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Livewell Medical Group PLLCGroup PAC ID 0042667529, 9 clinicians
Procare Partners Health PLLCGroup PAC ID 6507298841, 14 clinicians

Practice addresses (Care Compare)

3611 Carpenter St
Suite 5
Hamtramck, MI 48212-2784
Phone (313) 733-8286

Hospital & facility affiliations

  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Livewell Medical Group PLLC CurrentSince Oct 17, 2025 Accepting new patients

Locations

3040 E 7 Mile Rd
Detroit, MI 48234
Phone (313) 368-0705

3611 Carpenter St
Ste 5
Hamtramck, MI 48212
Phone (313) 733-8286

24831 Ryan Rd
Warren, MI 48091
Phone (586) 486-5037

30805 Ann Arbor Trl
Westland, MI 48185
Phone (734) 744-7058

Interoperability endpoints

  • Direct secure messaging: shussain726441@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1467128017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24684 WARNER AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911652",
            "telephone_number": "586-248-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 CARPENTER ST STE 5",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122784",
            "telephone_number": "313-733-8286",
            "fax_number": "313-826-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "SYED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.